摘要
目的分析血液生化检验在糖尿病诊疗中的临床价值和安全性。方法便利选取2018年1月—2020年1月到该院治疗的160例糖尿病患者和行体检的160名健康人员,将糖尿病患者划分为研究组,健康人员划为对照组。两组糖尿病患者和体检人员行血液生化检验,观察两组患者和体检人员的空腹血糖、餐后2 h血糖、葡萄糖耐受量、总胆固醇(TC)、三酰甘油(TG)以及糖化血红蛋白(HbA1c)和检测中的不良反应发生情况。结果研究组糖尿病患者空腹血糖(9.82±2.58)mmol/L、餐后2 h血糖(11.34±1.35)mmol/L均高于对照组(4.32±0.35)、(5.21±1.23)mmol/L,差异有统计学意义(t=26.720、42.456,P﹤0.05)。研究组糖尿病患者葡萄糖耐受量(10.36±0.68)mmol/L、TC(9.69±1.54)mmol/L、TG(2.45±1.36)mmol/L、HbA1c(10.25±2.15)%均高于对照组(6.87±0.55)mmol/L、(5.56±0.36)mmol/L、(1.12±0.52)mmol/L、(5.14±0.47)%,差异有统计学意义(t=50.475、33.032、11.554、29.370,P<0.05)。研究组的头晕乏力2例,对照组1例,两组不良反应发生率差异无统计学意义(χ^(2)=0.000,P>0.05)。结论以血液生化检验对患者和健康的体检人员开展检验,可以发现糖尿病患者空腹血糖、餐后2 h血糖、葡萄糖耐受量、TC、TG以及HbA1c等比起健康人员会更高,因此临床可以利用糖尿病患者的这些特点开展检验,有助于实现对糖尿病的初步诊断,并提高诊断准确率,血液生化检验具有推广价值。
Objective To analyze the clinical value and safety of blood biochemical tests in the diagnosis and treatment of diabetes.Methods Select 160 diabetic patients and 160 healthy persons who underwent physical examinations who came to our hospital from January 2018 to January 2020,and divided the diabetic patients into the experimental group and the healthy persons as the control group.Two groups of diabetic patients and physical examiners performed blood biochemical tests to observe the fasting blood glucose,2h postprandial blood glucose,glucose tolerance,total cholesterol(TC),triglycerides(TG),and glycosylated hemoglobin(HbA1c)of the two groups of patients and physical examiners and the occurrence of adverse reactions during testing.Results The fasting blood glucose(9.82±2.58)mmol/L and 2 h postprandial blood glucose(11.34±1.35)mmol/L of the study group of diabetic patients were higher than those of the control group(4.32±0.35)mmol/L,(5.21±1.23)mmol/L,the difference was statistically significant(t=26.720,42.456,P<0.05).Glucose tolerance(10.36±0.68)mmol/L,TC(9.69±1.54)mmol/L,TG(2.45±1.36)mmol/L,and HbA1c(10.25±2.15)%of diabetic patients in the study group were all higher than those in the control group(6.87±0.55)mmol/L,(5.56±0.36)mmol/L,(1.12±0.52)mmol/L,(5.14±0.47)%,the difference was statistically significant(t=50.475,33.032,11.554,29.370,P<0.05).There were 2 cases of dizziness and fatigue in the experimental group and 1 case in the control group,and there was no statistically significant difference in the incidence of adverse reactions between the two groups(χ^(2)=0.000,P>0.05).Conclusion Using blood biochemical tests to test patients and healthy physical examiners,it can be found that fasting blood glucose,2h postprandial blood glucose,glucose tolerance,TC,TG,and HbA1c of diabetic patients are higher than those of healthy people,so clinically using these characteristics of diabetic patients to carry out tests can help realize the initial diagnosis of diabetes and improve the accuracy of diagnosis.Blo
作者
陈赟
方松林
CHEN Yun;FANG Songlin(Department of Laboratory Medicine,Xiamen Fifth Hospital,Xiamen,Fujian Province,361101 China)
出处
《中外医疗》
2021年第16期189-191,共3页
China & Foreign Medical Treatment
